OLEAN GENERAL HOSPITAL (NPI# 1700426418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700426418 |
| Entity Type | Organization |
| Organization Name | OLEAN GENERAL HOSPITAL |
| Practice Address |
515 Main St Olean NY 14760-1513 |
| Practice Telephone | 7163732600 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | TIMOTHY FINAN (CEO) |
| Authorized Official Telephone | 7163756190 |
| Is Organization Subpart | Y |
| Parent Organization Name | OLEAN GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | 33S103 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014691 | Olean General Hospital | Skilled Nursing Facility | 200 Pleasant Street, Bradford, PA 16701 | 2005-09-21 |
| 1053744706 | Olean General Hospital | Family Medicine | 122 West Main Street, Mt. Jewett, PA 16740 | 2013-08-16 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
| 1801133210 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2013-01-07 |
| 1164779286 | Olean General Hospital | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-08-08 |
| 1063784726 | Olean General Hospital | Pathology | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1336411099 | Olean General Hospital | Pediatrics | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1245502905 | Olean General Hospital | Internal Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2012-01-27 |
| 1033499017 | Olean General Hospital | General Acute Care Hospital | 515 Main St, Olean, NY 14760-1513 | 2011-08-23 |
| 1720308117 | Olean General Hospital | Dentist | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2010-06-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OLEAN GENERAL HOSPITAL | 515 Main St, Olean, NY 14760-1513 |
| New York State Corporations | OLEAN GENERAL HOSPITAL FOUNDATION | 515 Main Street, Olean, New York 14760 |
| Street Address |
515 MAIN ST |
| City | OLEAN |
| State | NY |
| Zip Code | 14760-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273715 | Christopher T Mallavarapu | Internal Medicine | 515 Main St, Olean, NY 14760-1513 | 2005-05-23 |
| 1306463724 | Danielle Barkhouse | Dietitian, Registered | 515 Main St, Olean, NY 14760-1513 | 2020-07-01 |
| 1255957320 | Cathy Ann Wells | Nurse Practitioner | 515 Main St, Olean, NY 14760-1598 | 2020-06-24 |
| 1932748407 | Cailyn E Hobson | Occupational Therapist | 515 Main St, Olean, NY 14760-1598 | 2020-01-02 |
| 1003479916 | Kristen Lynn Paler | Speech-Language Pathologist | 515 Main St, Olean, NY 14760-1598 | 2019-04-16 |
| 1831653005 | Lilleigh Stein | Nurse Anesthetist, Certified Registered | 515 Main St, Olean, NY 14760-1513 | 2019-01-22 |
| 1427530039 | Danielle Marie Decasper | Occupational Therapy Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-08-30 |
| 1700371838 | Ashley Nicole Hanchett | Physician Assistant | 515 Main St, Olean, NY 14760-1513 | 2018-07-01 |
| 1003303405 | Jad Dughayli | Anesthesiology | 515 Main St, Olean, NY 14760-1513 | 2018-04-20 |
| 1205338613 | Beth Ann Porter | Nurse Practitioner | 515 Main St, Olean, NY 14760-1513 | 2018-03-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265880 | Hussein Elattar | Anesthesiology | 515 Main St., Olean, NY 14760 | 2018-12-03 |
| 1679956460 | Ca Boces | Day Training, Developmentally Disabled Services | 1626 Washington St., Olean, NY 14760 | 2015-06-30 |
| 1386021566 | Roop Kiran Kaur | Family Medicine | 135 N. Union Street, Olean, NY 14760 | 2015-04-27 |
| 1619389475 | Sebastian Wilk | Internal Medicine | Olean Medical Group, 535 Main St, Olean, NY 14760 | 2014-05-28 |
| 1205264603 | Joseph Patrick Bohan | Urology | 2110 Dugan Rd, Joseph P Bohan Md, Olean, NY 14760 | 2013-10-22 |
| 1205181062 | Sarah Catherine Lyons | Registered Nurse | 1620 Washington Street, Olean, NY 14760 | 2012-07-18 |
| 1528355237 | Judy B. Luensman | Speech-Language Pathologist | 1825 Windfall Road, Boces Center At Olean, Olean, NY 14760 | 2011-07-01 |
| 1053619395 | Tracy A Giardini | Physical Therapist | 1626 Washington Street, Washington West School, Olean, NY 14760 | 2011-03-10 |
| 1154557007 | Aditi A. Parikh | Dentist | 3018 Ny Route 417, Olean, NY 14760 | 2009-06-05 |
| 1336396688 | Ashley Norell Bartz | Physician Assistant | 2646 West State Street, Suite 405, Olean, NY 14760 | 2008-08-19 |
| Find all providers in zip 14760 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003380 | Johanna Cabassa | Psychiatry & Neurology | 111 E 210th St # Street1, Bronx, NY 10467-2401 | 2014-08-21 |
| 1427491745 | Mervat Estefanos | Psychiatry & Neurology | 1901 1st Ave, Room M1-18, Metropolitan Hospital Center, New York, NY 10029 | 2013-04-17 |
| 1194076851 | Paul E. Yarden | Psychiatry & Neurology | 201 E 77th St Apt 17b, New York, NY 10075-2085 | 2012-09-20 |
| 1588810592 | Nery Diaz | Psychiatry & Neurology | 635 W 165th St # Ei-6, New York, NY 10032-3724 | 2008-08-10 |
| 1679734651 | Stephanie Joan Samuels | Psychiatry & Neurology | 25 Gilbert Dr, Hyde Park, NY 12538-2431 | 2008-06-22 |
| 1295992410 | Lamberto Soriano Lopez | Psychiatry & Neurology | 28 Sherri Ln, Spring Valley, NY 10977-1300 | 2008-05-16 |
| 1982802906 | Alex Mikhelson | Psychiatry & Neurology | 690 Castleton Ave, Staten Island, NY 10310-1818 | 2007-07-11 |
| 1831224062 | Walter W. Furer | Psychiatry & Neurology | 150 E 90th St, New York, NY 10128-2328 | 2007-02-21 |
| 1225172075 | Diana Feldman | Psychiatry & Neurology | 525 East 68th Street # 140, New York, NY 10021 | 2007-02-16 |
| 1023155504 | Barry Reisberg | Psychiatry & Neurology | 20 Waterside Plaza, Suite # 7k, New York, NY 10010-2619 | 2007-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.